HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Current codeInjection - Immune Globulin29 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J1558 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$12.96 – $84.9616 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$19.96 – $60.759 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$15.16 – $32.244 plans——
Island HospitalAnacortes$15.06 – $31.236 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$14.18 – $54.1911 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$21.48 – $35.648 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$14.26 – $2,2209 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$13.86 – $69.9817 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$13.86 – $69.9817 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$19.96 – $69.9812 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$15.84 – $60.6110 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$12.83 – $10512 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$11.06 – $50.9814 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$14.40 – $91.5913 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$14.18 – $47.3011 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$12.06 – $35.6512 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$14.40 – $89.0110 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$13.06 – $50.1714 plans——
Seattle Children's HospitalSeattle$835 – $1,48498 plans$1,546$1,546
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$15.40 – $39.0312 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$15.40 – $41.2511 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$14.40 – $54.8916 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$14.40 – $54.8913 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$13.86 – $63.0617 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$15.16 – $46.569 plans——
Virginia Mason Medical CenterSeattle$14.30 – $50.598 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$38.781 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$24.10 – $52.6313 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$15.20 (APC 9372)
Surgery center payment (national)
$15.20